Factors Affecting the Risk of Childhood Obesity in the Bağcılar region of İstanbul

Abstract

Objective: Childhood obesity has recently become a common health problem worldwide. In the struggle against obesity, studies have focused on the risk factors playing a role in the development of obesity. In this study, we assessed the risk factors playing a role in childhood obesity and the resulting obesity in the İstanbul Bağcılar Region. Methods:In total, 250 obese children, aged 4-15 years, and 98 non-obese children of the same age were included in this study. A standardized questionnaire aimed at determining the sociodemographic characteristics, television-watching schedule, nutritional habits, physical activity, presence of obesity in the family, and duration of breastfeeding was provided to the study and control groups. Glucose, insulin, cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), and triglyceride levels were measured in fasting serum samples. Homeostasis model assessment-insulin resistance (HOMA-IR) values were calculated. Results:The mean age of the study group was 10.71±2.69 years; there were 112 (44.80%) males and 138 (55.20%) females. The pubertal period (p=0.0001), the presence of obese individuals in the family (p=0.021), and watching television for more than 3 h per day (p=0.0001) were found to be risk factors for childhood obesity. Increased HOMA-IR (p=0.0001), increased fasting insulin (p=0.003), and decreased HDL (p=0.037) levels were the most influential parameters in obesity. Conclusion:Childhood obesity can lead to serious health problems by affecting obesity in adulthood. To initially prevent obesity requires a full understanding of the risk factors and biological and social pathways leading to obesity in early life.

Evaluation of Etiological Risk Factors of Primary Monosymptomatic Enuresis

“…They showed that enuresis is more common in obese children than in normal weight control subjects. The probable explanations for this are common comorbidities in these patients, such as obstructive sleep apnea and type 2 diabetes mellitus (18). Obese children may have a slightly underestimated enuresis, and it warrants close attention to prevent unnecessary psychological distress in these children.…”